Alcoholism has been defined by the World Health Organization as
​ "alcohol consumption by an individual that
exceeds the limits accepted by the culture or injures health or social relationships." The health, social, and economic consequences of alcoholism are alarming (see box).
Current estimates indicate that over eighteen million people in the United States ( roughly 10% of the adult population) are alcoholics, making alcoholism one of the most serious health problems facing the physician today. The total number of Americans affected, either directly or indirectly, is much greater when one considers
disruption of family life, automobile accidents, crime, decreased productivity, and mental and physical disease.

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